Dr. Jonathan Kim Fears
Internist - Allergy & Immunology
985 Prince Frederick Blvd Ste 201
Prince Frederick
, Maryland 20678-3492
Dr. Jonathan Kim Fears
Internist - Allergy & Immunology
985 Prince Frederick Blvd Ste 201
Prince Frederick
, Maryland 20678-3492
(410) 535-4850
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About
Features
Specialties
- Internist - Allergy & Immunology
Languages spoken
- English
Location
First Address
- Dr. Jonathan Kim Fears
- 985 Prince Frederick Blvd Ste 201
- Prince Frederick, MD
- Zip : 20678-3492
- Fax : (410) 535-4850
- Phone : (410) 535-2005
Second Address
- Dr. Jonathan Kim Fears
- 985 Prince Frederick Blvd Ste 201
- Prince Frederick, MD
- Zip : 20678-3492
- Fax : (410) 535-4850
- Phone : (410) 535-2005
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0201X | Internist - Allergy & Immunology | D39522 | MD |
National Provider Identifier
| NPI | 1083763726 |
|---|---|
| Provider Name | Dr. Jonathan Kim Fears |
| First Address | Prince Frederick, MD 20678-3492 |
| Second Address | Prince Frederick, MD 20678-3492 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/01/2007 |
| Last Update Date | 18/09/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 110032510 | RAILROAD MEDICARE (01) | MD |
| 2148224 | AETNA HMO PCP (01) | MD |
| 2154481 | AETNA HMO SPECIALIST (01) | MD |
| 42589101 | CAREFIRST OF MARYLAND (01) | MD |
| 437339 | MAMSI HMO SPECIALIST (01) | MD |
| 4461101 | AETNA NON-HMO PCP (01) | MD |
| 558681000 | (05) | MD |
| 7720001 | AETNA PPO SPECIALIST (01) | MD |
| 837339 | MAMSI HMO PCP (01) | MD |
| C0410003 | CAREFIRST OF DC (01) | MD |
| C89302 | (02) | MD |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.